■据推测,由于重叠的症状和独特的临床表现,女性头皮过敏性接触性皮炎(ACD)通常被误认为是其他疾病。
■本研究回顾了头皮ACD的潜在漏诊和误诊,并探索了提高诊断准确性的方法。
■这项研究进行了广泛的文献综述,以确定诊断挑战,常见的误诊,和头皮ACD的诊断方法,专注于标准与有针对性的补丁测试技术。
■头皮ACD,常因类似症状误诊为脂溢性皮炎,有非典型的表现,如头发稀疏,脱发,和影响邻近区域的红斑性病变。毛管镜可以帮助区分头皮ACD,确定其细白色鳞片的斑片状分布,与脂溢性皮炎的黄色鳞屑相反。标准化的补丁测试进一步有助于诊断错误,一项研究报告,83%的标准斑贴试验阴性的患者在使用个人产品时呈阳性。个体化斑贴检测在识别致敏原和准确诊断头皮ACD方面更有效。
■这是一项回顾性审查。
■一些因素导致头皮ACD对脂溢性皮炎等疾病的误诊。女性个性化和标准化补丁测试之间ACD检测率的显着差异强调了在诊断测试中使用患者特定产品的重要性。将头皮ACD更容易融入一个人的差异,采用个性化的贴片测试,和考虑邻近的症状区域都是提高女性头皮ACD诊断准确性的关键因素。
UNASSIGNED: It is hypothesized that scalp allergic contact dermatitis (ACD) in women is commonly mistaken for other disorders due to overlapping symptoms and unique clinical presentations.
UNASSIGNED: This study reviews the potential underdiagnosis and misdiagnosis of scalp ACD and explores ways to improve diagnostic accuracy.
UNASSIGNED: This study conducted an extensive literature review to identify diagnostic challenges, common misdiagnoses, and diagnostic approaches for scalp ACD, focusing on standard versus targeted patch testing techniques.
UNASSIGNED: Scalp ACD, often misdiagnosed as seborrheic dermatitis due to similar symptoms, has atypical presentations such as hair thinning, hair loss, and erythematous lesions affecting neighboring regions. Trichoscopy can help distinguish scalp ACD, identifying its patchy distribution of thin white scales, in contrast to the yellow scaling of seborrheic dermatitis. Standardized patch testing further contributes to diagnostic errors, with a study reporting 83% of patients who tested negative with standardized patch tests were positive when using their personal products. Individualized patch testing is more effective in identifying causative allergens and accurately diagnosing scalp ACD.
UNASSIGNED: It is a retrospective review.
UNASSIGNED: Several factors contribute to scalp ACD\'s misdiagnosis for conditions such as seborrheic dermatitis. The significant discrepancy in ACD detection rates between personalized and standardized patch tests in women emphasizes the importance of using patient-specific products in diagnostic testing. Incorporating scalp ACD more readily into one\'s differential, employing individualized patch testing with trichoscopy, and accounting for neighboring symptomatic areas are all crucial elements in improving diagnostic accuracy for scalp ACD in women.